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8 Cards in this Set
- Front
- Back
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What's the point past which bleeding is considered lower gastrointestinal bleeding? |
Ligament of Treitz. |
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Common causes of major LGIB |
Diverticular disease Angiodysplasia |
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Rare causes of major LGIB |
Ischemia Neoplasia IBD Hemobilia Perianal disease Aortoenteric fistula Solitary rectal ulcer |
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Common causes of minor LGIB |
Hemorrhoids Fissures Proctitis |
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Rare causes of minor LGIB |
Neoplasia IBD Colitis Angiodysplasia Ischemia Rectal ulcer |
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Management of patient with LGIB |
Stabilize hemodynamic instability
Blood tests (CBC, electrolytes, coagulation)
Rule out upper GI bleed
Colonoscopy (or protoscopy or sigmoidoscopy)
Radionuclide scanning and angiography (if colonoscopy fails) |
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Management if MASSIVE and UNCONTROLLED major LGIB that does not stop spontaneously. |
Angiogram with embolization + surgery
See http://www.youtube.com/watch?v=15J5s9fwSEE |
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Management if CONTROLLED major LGIB that does not stop spontaneously. |
RBC scan or colonoscopy (assuming cauterization?)
If still continuing then angiogram w embolization + surgery |
